SUSAN BLACKBURN - Pharmacist License in Illinois | # 049114636

SUSAN BLACKBURN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114636

License Status

NOT RENEWED

Business

N

First Name

SUSAN

Last Name

BLACKBURN

Business Name

SUSAN BLACKBURN

Original Issue Date

07/11/1996

Effective Date

07/11/1996

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

12/06/2005